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Home My WebLink About2757 INVERNESS DR; ; CB951049; Permit' B U I L D I N G 08/03/95 16:44 Page 1 of 1 Job Address: 2757 INVERNESS DR Permit Type: ELECTRICAL P E R M I T Suite: Lot#: Parcel No: 208-111-27-00 Valuation: 0 Construction Type: NEW Occupancy Group: Reference#: Description: RECESSED CAN : EXIST WIDOWS LIGHTS, REMOVE & ADD SLIDER W/STRUCT CAL CS Permit Project Development No: CB951049 No: A9501528 No: ')"• Status: Applied: Apr/Issue: Appl/Ownr : B.A. WORTHING P.O.BOX 1041 CARLSBAD, CA INC Entered By: 619-729-3965 ISSUED 08/03/95 08/03/95 RMA 92018,. *** Fees Required **~ *'!'* Fees''Collected & Credits *** , ~ --"~----. -,-•-, . ; .. -:.:.'I," '<v-----------------------' -------------------------L-· 12t .. ,60 Fees: ,, ,·"lll. Total C:ceoi't.lil'. . oo , ,1'2·S .oo. Total, ~,yntent'ir,i\ . 00 0 , Balan<;e 'Dtie'i, 12 5 . O O Fee description . Units E~\~;Oii;it Ext fee Data --------------------~;:_;. --, ~<------. ---------------,' --~ .... ~r------------------ En ter "Y" for Eleo\:(i~ Issue Fee > 10.00 Y Enter "Y" for Rem~i i > 10. 00 Y • • Other ,', > 105.00 105.00 WINDOWS * ELECTRICAL TOTAL\~' 125. 00 Adjustments: Total Fees: CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 PERMIT APPLICATION PIAN CHECK NO. q 5 ! {) City of Carlsbad Building Department EST. vAL._~3=0'-'oo"-=-_,_oo __ _ 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438·1161 1. PEkM1 I IYPE PIAN CK DEPOSIT. ________ _ VAUD.BY. ___________ _ From Llst I (see back) give code of Permit-Type: __ £>::c.fJ..aD.._.c.... _____ _ DATE For Residential Projects Only: From Llst 2 (see back) give Code of Structure-Type: _______ _;?::_f'c....D::.... ________ _ Net Loss/Gain of Dwelling Units 1 2. PROJOCT INFORMATION FOR OFFICE USE ONLY Address 2157 !:.uVtl/'IJ~ Budding or Suite No. Nearest Cross Street LEGAL DESCRIP'I ION Lot No. Sub(ilvis1on Name/Number Unit No. Phase No. D 2 Soils Report D 1 Addressed Envelope SQ. IT. # OF STORIES ',/ Ok.le BoG,e, -:':>Ji I""! <Fr-e,..,c}, or- # OF BEDROOMS # OF BATHROOMS DESCRIPTION OF WORK 3. WN IACI PERSON (if dl[ferent from applicant) NAME (last name first) ~ ADDRESS CI1Y STATE ZIP CODE DAY TELEPHONE NAME (last name first) ?A'\ f'Z. ~e_ + 1.i.url e._ ADDRESS f7S7 '.1).,V~ ~ s1ATE , ZIP CODE q--zCXJ8 DAY TELEPHONE (2 0 7z_q ~ ADDRESS '17o!3ox 101-, C/1.01 B DAY TELEPHONE 7 Zff 316 5 '&- rb (3o;x CI1Y STATE ZIPCODE {~ !3 DAY TELEPHONE 7 STATE UC.# Workers' Compensation Declarauon: I hereby afhrm that I have a cert1hcate of consent to self-insure issued by the Director of lndustnal Relations, or a certificate of Workers' Compensation Insurance by an admitted insurer, or an exact copy or duplicate thereof certified by the Director of the insurer thereof filed with the Building Inspection Department (Section 3800, Lab. C). INSURANCE COMPANY POIJCY NO. EXPIRATION DA TE Cert1hcate of Exemption: I certify that 10 the performance of the work for which this permit ts issued, I shall not employ any person 1n any manner so as to become subject to the Workers' Compensation Laws of California. SIGNATURE DATE 8. OWNflt-BOllDflt DRCi.ARAIION Owner-Builder Declaration: I hereby affirm that I am exempt from the Contractors License Law for the follow1ng reason: D I, as owner of the property or my employees with wages as their sole compensation, will do the work and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Ccxle: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or through his own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner-builder will have the burden of proving that he did not build or improve for the purpose of sale.). D I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's Llcense Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law). D I am exempt under Section --------Business and Professions Code for this reason: (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's license Law (Chapter 9, commencing with Section 7000 of Division 3 of the Business and Professions Code) or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$500]). SIGNATURE DATE WMPLEIE IHIS SECIION FOR NUN-RESIDEN llAL BOIWING PERMII's ONLY: Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? D YES O NO ls the applicant or future building occupant required co obtain a permit from the air pollution control district or air quality management district? DYES D NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? DYES ONO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE cy;uED AFTER JULY I, 1989 UNIBSS nm APPLICANT HAS MET OR JS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POIJ.UTION ffiNTROL DIS111ICT. 9. WNS I KOCI ION lliNDING AGENCY I hereby affirm that there 1s a construction lending agency for the perfonnance of the work for which this permit ts 1~ued (Sec 3097(1) C1vti Lexie). LENDER'S NAME LENDER'S ADDRESS 10. APPUCAN I CERIIFICAIION I certify that I have read the application and state that the above information 1s correct. I agree to comply w1lh all City ordinances and State laws relating to building construction. I hereby authorize representatives of the City of Carlsbad to enter upon the above mentioned property for inspection purposes. I AI.50 AGREE m SAVE INDEMNIFY AND KEEP HARMLESS THE CI1Y OF CARISBAD AGAINST ALL UABIUTIF.S, JUDGMENTS, CDSTS AND EXPENSES WHICH MAY IN ANY WAY A=tUE AGAINST SAID CI1Y IN CDNSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA pennit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Expiration. Every permit issued by the Building Official under the provisions of this Ccxle shall expire by limitation and become null and void if the building or work authorized by such permit is not commenced within 365 days from the date of such permit or if the building or work authorized by such pennit is suspended or abandon at an ime aft the work is commenced for a pericxl of 180 days (Section 303(d) Unifonn Buildin!Qxj'). APPIJCANTS SIGNATURE DATE: f/J.2;:,. fq7 OW: Applicant PINK: Finance ' PERMIT# CB951049 DESCRIPTION: RECESSED CAN EXIST WIDOWS TYPE: ELEC CITY OF CARLSBAD INSPECTION REQUEST FOR 08/31/95 LIGHTS, REMOVE & ADD SLIDER W/STRUCT CALCS STE: INSPECTOR AREA PD PLANCK# CB951049 OCC GRP CONSTR. TYPE NEW LOT: JOB ADDRESS: 2757 INVERNESS DR APPLICANT: B.A. WORTHING INC CONTRACTOR: PHONE: 619-729-3965 PHONE: OWNER: REMARKS: MW/GAIL/729-3965 SPECIAL INSTRUCT: TOTAL TIME: CD LVL DESCRIPTION 19 ST Final Structural 29 PL Final Plumbing 39 EL Final Electrical 49 ME Final Mechanical PHONE: INSPECTOR ~..L...-~1----------- ACT COMMENTS -ru7--- --------------------------------------------------- ***** INSPECTION HISTORY***** DATE 081695 081095 DESCRIPTION Rough Electric Rough Electric ACT INSP AP PD CO PD COMMENTS